Allison De Groot Ta

MD | Pediatric Gastroenterology | Female

---

Complete Profile:

Allison De Groot Ta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Gastroenterology
Provider Name :	Allison De Groot Ta
Credential :	MD
Gender :	Female

Business Address:

Allison De Groot Ta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3333 Burnet Ave, Ml 2010 Cincinnati, OH, 45229-3026 United States
Phone Number :	513-636-4415
Fax Number :	513-636-7805

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1295117216
NPI Entity Type :	Individual
First Enrolment Date :	25 Jun, 2015
Last Updated On :	09 Sep, 2022

Medicare Participation:

Allison De Groot Ta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2163824566
Medicare Enrollment ID :	I20221013001333
Primary Specialty :	Gastroenterology
Medical School :	Duke University School Of Medicine
Graduation Year :	2015
Accepts Medicare?	Yes. Allison De Groot Ta accepts medicare insurance.

Group Practice Association:

Allison De Groot Ta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Allison De Groot Ta is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital Medical Center	8426955733	495	3333 Burnet Ave Cincinnati, OH - 452293026 Ph: 5136364200	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Allison De Groot Ta are as mentioned. Primary taxonomy code for Allison De Groot Ta, MD is 2080P0206X (Pediatrics, Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	DR.0066052	CO
208000000X	Pediatrics	No	0116028576	VA
2080P0206X	Pediatrics, Pediatric Gastroenterology	Yes	35.134315	OH

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3333 Burnet Ave, Ml 2010 Cincinnati, OH, 45229 United States
Phone Number :	513-636-4415
Fax Number :	513-636-7805

Business Location:

Patients can refer following map for directions to Allison De Groot Ta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.